Provider Demographics
NPI:1891382107
Name:HENLUCY TRANSPORTATION
Entity Type:Organization
Organization Name:HENLUCY TRANSPORTATION
Other - Org Name:HENLUCY TRANSPORTATION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:OLAPEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:OBOLANLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-956-1976
Mailing Address - Street 1:68 GARSIDE ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07104-1006
Mailing Address - Country:US
Mailing Address - Phone:609-956-1976
Mailing Address - Fax:862-930-6689
Practice Address - Street 1:68 GARSIDE ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07104-1006
Practice Address - Country:US
Practice Address - Phone:609-956-1976
Practice Address - Fax:862-930-6689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-22
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)